5UG-40285-09799

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 339 / FL
Registered: 2021-01-13

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-11
Dose 1 — Moderna
2021-01-13
Registered in v-safe
2021-01-13
Survey response — days 1–6 daily, dose 1
MedDRA: Limb discomfort — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Heavy arm of injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-25
Survey response — day 14, dose 1
MedDRA: Arthralgia, Chills, Oropharyngeal pain, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Chills, joint aches, soar throat, vomitting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — day 21, dose 1
MedDRA: Bradykinesia, Chills, Lethargy, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Chills and vomiting stayed home from work three days as stated in previous check in. As for this week I was able to work : slow and lethargic but I was able to accomplish my job come home and fall asleep

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Dose 2 — Moderna
2021-02-08
Health check-in — day 0, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle twitching — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Odd facial twitch. Sun sensativity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Survey response — day 28, dose 2
MedDRA: Lethargy, Vomiting — Feeling: Poor

Free text: Lethargy and vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 35, dose 2
MedDRA: Obstructive sleep apnoea syndrome — Feeling: Fair · Be unable to do your normal daily activities

Free text: I now have obstructive sleep apnea I dont know if one has anything to do with the other

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: COPD: on a c pap machine at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Call 1 — Left Voicemail
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Cough, Fatigue — Feeling: Fair

Free text: Cough and fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Chills, Influenza, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school

Free text: I had the flu for three days ran a fever feeling chills took a Covid test was negative

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna

Call center

2 call center cases

1 unsuccessful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Heavy arm of injected arm

Release 2 — day 14, dose 1

2021-01-25

Symptoms: Chills, joint aches, soar throat, vomitting

Release 3 — day 21, dose 1

2021-02-01

Symptoms: Chills and vomiting stayed home from work three days as stated in previous check in. As for this week I was able to work : slow and lethargic but I was able to accomplish my job come home and fall asleep

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Odd facial twitch. Sun sensativity

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Lethargy and vomiting

Release 5 — day 35, dose 2

2021-03-15

Symptoms: I now have obstructive sleep apnea I dont know if one has anything to do with the other

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: COPD: on a c pap machine at night

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Cough and fatigue

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: I had the flu for three days ran a fever feeling chills took a Covid test was negative

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
SD	Arthralgia	✓	✓	✓
SD	Bradykinesia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Influenza	·	·	✓
SD	Lethargy	✓	✓	✓
SD	Obstructive sleep apnoea syndrome	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release